Targeting epigenetic networks with polypharmacology: a new avenue to tackle cancer

Gianluigi Franci1, Marco Miceli, Lucia Altucci

  • 1Seconda Università di Napoli, Napoli, Italy.

Epigenomics
|November 30, 2011
PubMed

Insights

Epigenetic modifications regulate gene expression without altering DNA. Targeting these epigenetic enzymes offers new cancer treatment strategies, potentially through poly-pharmacology.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Epigenetics involves gene expression modulation beyond DNA sequence.
  • Epigenetic control relies on enzymes modifying chromatin structure.
  • Dysregulation of these enzymes is linked to diseases like cancer.

Purpose of the Study:

  • To explore epigenetic enzymes as therapeutic targets in cancer.
  • To evaluate the potential of poly-pharmacological approaches in epigenetic cancer therapy.

Main Methods:

  • Review of epigenetic mechanisms and enzyme functions.
  • Analysis of existing and potential small-molecule inhibitors targeting epigenetic enzymes.
  • Discussion of poly-pharmacological strategies versus single-target approaches.

Main Results:

  • DNA methyltransferase and histone deacetylase inhibitors are approved cancer treatments.
  • Other epigenetic enzymes (e.g., MS-275, SAHA) show disease associations and are targeted.
  • Poly-pharmacological targeting of multiple epigenetic enzymes is proposed as a 'smart' cancer treatment.

Conclusions:

  • Epigenetic enzyme inhibitors represent a novel therapeutic avenue for cancer.
  • Targeting multiple epigenetic enzymes simultaneously may offer advantages over single-target therapies.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu01:29

Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Site-Targeted Drug Delivery Systems: Polymeric Carriers01:24

Site-Targeted Drug Delivery Systems: Polymeric Carriers

Polymeric carriers enhance targeted drug delivery by increasing efficacy while minimizing off-target effects. These carriers comprise a biodegradable polymeric backbone integrated with functional elements that enable targeting, improve physicochemical properties, and regulate drug release.Targeting MechanismsThe targeting ability of polymeric carriers is mediated by a homing device, which is a molecular recognition component designed to selectively bind to specific tissues or cells. Monoclonal...